EVERGREEN UPTOWN LLC – NPI #1558158311
Clinic/Center

EVERGREEN UPTOWN LLC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1558158311 to EVERGREEN UPTOWN LLC on April 23, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN UPTOWN LLC below.

NPI Profile for
EVERGREEN UPTOWN LLC

NPI Number
1558158311
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN UPTOWN LLC
Primary location
1147 W. BALMORAL AVE
CHICAGO, IL 60640
Phone: (773) 754-0027 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
XIUZHEN LI
PRESIDENT
Phone: (312) 731-6185
Updated
Certification Date
Apr 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.